Patient Outcomes

The Oxford Shoulder Score (OSS) and Oxford Shoulder Instability (OSI) Score are 12-item patient-reported outcome measures (PROMs) specifically designed and developed for assessing outcomes of shoulder surgery e.g. for assessing the impact on patients’ quality of life of degenerative conditions such as arthritis and rotator cuff problems or instability.

The development of these scores was driven by demands for a suitable patient reported outcome by orthopaedic surgeons who wished to measure the outcomes of their treatments from the patient’s perspective.

I frequently use these scores to assess the severity of patient symptoms, their response to treatment and to audit the results of treatment.

You may be asked to complete one of these scores which should take around 5 minutes of your time.

This will be in electronic format. You will be able to complete your scores on line at: www.iproms.co.uk/login

Please enter the doctor code 7ch17 and complete your registration, then select your score. You do not need to remember the password at the end, simply log out once finished and any further score requests will be sent to you by email.

Alternatively, please complete one of the forms below as directed by Mr hand.

Oxford Shoulder Score

Oxford Shoulder Score

Your details

This information is purely for use by Campbell Hand and his team. Data is held securely.

Name *

Name

First Name

Last Name

Email Address *

Problems with your shoulder

During the past 4 weeks... Select one box for each question

Which shoulder is the problem? *

Right

Left

During the past 4 weeks...

1. How would you describe the worst pain you had from your shoulder? *

None

Mild

Moderate

Severe

Unbearable

2. Have you had any trouble dressing yourself because of your shoulder? *

No trouble at all

A little bit of trouble

Moderate trouble

Extreme difficulty

Impossible to do

3. Have you had any trouble getting in and out of a car or using public transport because of your shoulder? *

No trouble at all

A little bit of trouble

Moderate trouble

Extreme difficulty

Impossible to do

4. Have you been able to use a knife and fork – at the same time? *

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

5. Could you do the household shopping on your own? *

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

6. Could you carry a tray containing a plate of food across a room? *

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

7. Could you brush/comb your hair with the affected arm? *

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

8. How would you describe the pain you usually had from your shoulder? *

None

Very mild

Mild

Moderate

Severe

9. Could you hang your clothes up in a wardrobe, – using the affected arm? *

Yes, easily

With little difficulty

With moderate difficulty

With great difficulty

No, impossible

10. Have you been able to wash and dry yourself under both arms? *

Yes, easily

With little difficulty

With moderate difficulty

With extreme difficulty

No, impossible

11. How much has pain from your shoulder interfered with your usual work (including housework)? *

Not at all

A little bit

Moderately

Greatly

Totally

12. Have you been troubled by pain from your shoulder in bed at night? *

No nights

Only 1 or 2 nights

Some nights

Most nights

Every night

Thank you! The team will keep this data as a reference for when next meeting you.

The Oxford Instability Shoulder Score

Shoulder Instability Score

Your details

This information is purely for use by Campbell Hand and his team. Data is held securely.

Name *

Name

First Name

Last Name

Email Address *

Problems with your shoulder

Which shoulder is the problem? *

Right

Left

During the last 6 months...

1. How many times has your shoulder slipped out of joint (or dislocated)? *

Not at all in 6 months

1 or 2 times in 6 months

1 or 2 times per month

1 or 2 times per week

More often than 1 or 2 times/week

During the last 3 months...

2. Have you had any trouble (or worry) with putting on a T-shirt or pullover because of your shoulder? *

Have you had any trouble (or worry) with putting on a T-shirt or pullover because of your shoulder?

No trouble/No worries

Slight trouble or worry

Moderate trouble or worry

Extreme difficulty

Impossible to do

3. How would you describe the WORST pain you have had from your shoulder? *

None

Mild ache

Moderate

Severe

Unbearable

4. How much has the problem with your shoulder interfered with your usual work? (Including school or college work, or housework) *

Not at all

A little bit

Moderately

Greatly

Totally

5. Have you avoided any activities due to worry about your shoulder - feared that it might slip out of joint? *

No, not at all

Very occasionally

Some days

Most days or more than one activity

Every day or many activities

6. Has the problem with your shoulder prevented you from doing things that are important to you? *

No, not at all

Very occasionally

Some days

Most days or more than one activity

Every day or many activities

7. How much has the problem with your shoulder interfered with your social life? (including sexual activity - if applicable) *

Not at all

Occasionally

Some days

Most days

Every day

During the last 4 weeks...

8. How much has the problem with your shoulder interfered with your sporting activities or hobbies? *

Not at all

A little / occasionally

Some of the time

Most of the time

All of the time

9. How often has your shoulder been 'on your mind' - how often have you thought about it? *

Never, or only if someone asks

Occasionally

Some days

Most days

Every day

10. How much has the problem with your shoulder interfered with your ability - or willingness - to lift heavy objects? *

Not at all

Occasionally

Some days

Most days

Every day

11. How would you describe the pain you usually had from your shoulder? *

None

Very mild

Mild

Moderate

Severe

12. Have you avoided lying in certain positions, in bed at night, because of your shoulder? *

No nights

Only 1 or 2 nights

Some nights

Most nights

Every night

Thank you! The team will keep this data as a reference for when next meeting you.

Quick DASH-9

Quick DASH-9

Name *

Name

First Name

Last Name

Email Address *

Instructions

INSTRUCTIONS: This questionnaire asks about your symptoms as well as your ability to perform certain activities. Please answer every question, based on your condition in the last week, by selecting the appropriate number.
If you did not have the opportunity to perform an activity in the last week, please make your best estimate of which response would be the most accurate. It doesn’t matter which hand or arm you use to perform the activity; please answer based on your ability regardless of how you perform the task.

1. Open a tight or new jar *

0- No difficulty

1- Mild difficulty

2- Moderate difficulty

3- Severe difficulty

4- Unable

2. Do heavy household chores (e.g. wash walls, floors). *

0- No difficulty

1- Mild difficulty

2- Moderate difficulty

3- Severe difficulty

4- Unable

3. Carry a shopping bag or briefcase. *

0- No difficulty

1- Mild difficulty

2- Moderate difficulty

3- Severe difficulty

4- Unable

4. Wash your back. *

0- No difficulty

1- Mild difficulty

2- Moderate difficulty

3- Severe difficulty

4- Unable

5. Use a knife to cut food. *

0- No difficulty

1- Mild difficulty

2- Moderate difficulty

3- Severe difficulty

4- Unable

6. Recreational activities in which you take some force or impact through your arm, shoulder or hand (e.g. golf, hammering tennis etc). *

0- No difficulty

1- Mild difficulty

2- Moderate difficulty

3- Severe difficulty

4- Unable

7. During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbours or groups? *

0- Not at all

1- Slightly

2- Moderately

3- Quite a bit

4- Extremely

8. During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problems? *

0- Not at all

1- Slightly limited

2- Moderately limited

3- Very limited

4- Unable

9. Arm, shoulder or hand pain? *

0- None

1- Mild

2- Moderate

3- Severe

4- Extreme

Thank you! The team will keep this data as a reference for when next meeting you.